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Most standard PBM contracts include audit rights that are narrowly scoped: the employer can audit claims data, but typically cannot audit whether rebates were fully disclosed, cannot see the manufacturer rebate contracts, and cannot independently verify spread pricing without sophisticated actuarial support

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Additionally, "GLP-1 medications work differently because they are engineered to stay active much longer, which is why they have a much more powerful and sustained effect on appetite and blood sugar regulation," he said